| NPI | 1780077750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201800724NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 687345) |
| 163W00000X Registered Nurse (Licence: MA 2304378) | |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2018-08-17 |